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Insurance Agency Professional

Rhema Management Group Inc

Description

Sleep & Attention Disorders Institute

Location: Sterling Heights, Michigan

Job Type: Full-Time, In Person

Schedule: Standard Office Hours

Pay Range: $18.00-$25.00 per hour, based on experience and qualifications

Sleep & Attention Disorders Institute is an established specialty medical practice serving patients with sleep disorders and attention-related conditions. Our practice has served the Metro Detroit community for decades and is committed to providing professional, compassionate, and patient-focused care.

We are seeking a dependable, organized, and detail-oriented Referral & Insurance Verification Specialist to support patient intake, physician referrals, insurance verification, and front-office operations. The Referral & Insurance Verification Specialist serves as an important first point of contact for new and existing patients and referring physician offices. This position is responsible for managing incoming referrals, verifying insurance coverage and requirements, answering incoming calls, registering and following up with new patients, and helping ensure that referrals and patient inquiries are handled accurately and promptly.

Because this role provides direct front-office and telephone coverage, it is an in-person position.

Key Responsibilities

Insurance Verification & Insurance Referrals

Complete insurance verification for new and existing patients

Verify eligibility, benefits, deductibles, copays, and other applicable coverage information

Identify referral and prior authorization requirements

Obtain, review, and update patient insurance information

Update insurance information promptly when patients provide new or changed coverage

Assist patients and staff with insurance-related questions

Maintain accurate insurance information within the practice's patient management and EMR systems

Stay current with payer requirements, policies, and procedures

Referral Management

Receive and process incoming physician referrals

Monitor and process referrals received by fax and other designated channels

Obtain necessary demographic, insurance, and registration information directly from patients when registering and scheduling

Track referrals through the intake and scheduling process

Maintain accurate referral records and documentation

Follow up with referring physician offices when necessary

New Patient Intake & Follow-Up

Receive and respond to new patient inquiries, including inquiries generated through the practice website

Register new patients and enter required demographic and insurance information

Contact prospective and referred patients to support appointment scheduling

Follow up with new patients who have not yet completed scheduling or registration

Help ensure new patient inquiries and referrals do not go unanswered or become lost in the intake process

Phones & Front-Office Support

Answer incoming telephone calls and assist with patient needs

Help manage high call volume, particularly during patient clinic days

Route calls appropriately when clinical or administrative assistance is required

Provide professional and courteous service to patients, referring offices, and other callers

Support scheduling and appointment coordination as needed

Assist with other front-office responsibilities during high-volume periods

Administrative & Reporting Support

Assist with end-of-month reporting and administrative processes

Sort, fold, stuff, stamp, and prepare required reports or correspondence for mailing

Maintain organized records and documentation

Assist with claims follow-up and accounts receivable activities as assigned

Support other administrative functions necessary for efficient practice operations

Clinical Research Support

Provide administrative assistance during clinical research visits as needed

Support research staff with non-clinical tasks associated with patient visits

Obtain vital signs, height, weight, and BMI for research participants as assigned

Perform ECGs for research participants as assigned; training will be provided

Complete accurate and precise documentation for procedures performed

Assist with appropriate administrative coordination and documentation as assigned

Follow established research procedures and applicable compliance requirements

Work collaboratively with clinical, research, and administrative staff

Requirements

Qualifications & Skills

High school diploma or equivalent required

At least 1 year of medical office experience preferred

Medical insurance verification experience strongly preferred

Experience processing physician or insurance referrals preferred

Experience with patient registration, scheduling, or medical front-office operations preferred

Familiarity with EMR and medical practice management software

Familiarity with Microsoft Office

Strong attention to detail and accuracy

Excellent organizational and multitasking abilities

Ability to manage multiple incoming calls, referrals, and patient requests

Strong written and verbal communication skills

Professional and patient-focused customer service skills

Ability to communicate effectively with physician offices, insurance companies, patients, and internal staff

Ability to work effectively in a fast-paced medical office environment

Position Requirements

This position requires in-person attendance due to telephone coverage, patient intake, referral management, and front-office responsibilities

Candidates may be asked to complete skills testing as part of the interview process

Employment may be contingent upon successful completion of a background check

Annual influenza vaccination is required in accordance with applicable building requirements

Starting compensation will be based on relevant skills and prior experience

Benefits

Eligible full-time employees may receive:

401(k)

Health insurance

Dental insurance

Vision insurance

Paid time off

Retirement benefits

Equal Opportunity Employer

Sleep & Attention Disorders Institute is an equal opportunity employer and considers qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, or other status protected by applicable law.

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Vacancy posted more than 2 months ago

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